Jurnal Keperawatan Padjadjaran
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Spiritual Needs of Post-Stroke Patients in the Rehabilitation Phase
No full textPost-stroke patients experience in various disturbances including physical, psychological and spiritual aspect. Post-stroke patients in the rehabilitation phase focus more on physical needs while the unfulfilled spiritual needs can reduce the patient's health condition. Therefore, it takes action to meet the spiritual needs of patients. This study was conducted to identify the spiritual needs among post-stroke patients.The descriptive quantitative was used among post-stroke patients in Neurological Polyclinic and stroke center in one of the Hospital in Bandung in 2017. The sampling technique used was consecutive sampling with 83 samples included post-stroke patients who have full awareness and didnot experience of aphasia. The instrument of this study used Spiritual Needs Questionnaire (SpNQ) which consists of 4 dimensions including religious, peace, self-existence, and dimension of the giving needs. SpNQ had a validity coefficient of 0.73 and r 0.75. Data were analyzed using frequency distribution. The results showed that the most of respondents feel the spiritual need in all dimensions. In the religious dimension, the majority of respondents desired to pray with others, to move closer to God and participate in various religious activities (98.8%). In the dimension of peace showed the most of respondents desired to be more cherished by others (96.4%). The most perceived item of respondents were forgiving someone from the past in the dimension of self-existence (98.8%) and a solace for others in the dimension of the giving needs (98.8%). The conclusion from this study was most respondents feel the spiritual needs in all dimensions. Based on these results, nurses are expected to provide advice to people around the patients to invite them in various religious activities. Nurses supposed more expressing affection to them and involving the patients in some family activities
Effect of Family Support Intervention towards Quality of Life with Elderly’s Hypertension in Community
No full texthe quality of life of the elderly is influenced by physical, psychological, social and environmental factors. These four factors desperately need family support as a support system for the elderly. This study aims to determine the effect of family support intervention on the quality of life of elderly hypertension in Community Area Cipayung Puskesmas East Jakarta. The research method used quasi-experiment with control group design. The sampling strategy used multistage random sampling with 30 samples for the intervention group and 30 for the control group. This study were implemented during four weeks. Statistical test using dependent t-test and independent t-test. There was a significant difference in the mean elderly quality of life with hypertension after the intervention of family support program in the intervention group compared with the control group (M= 93.67 ± 6.08, p-value 0.012). In conclusion, this study showed that there were differences in mean older people quality of life with hypertension in the intervention group compared with the control group after the intervention of family support program. The resulting family support interventions can serve as the foundation for policy and health service providers in order to implement various interventions related to family empowerment to improve the quality of life older people with hypertension in the community.The quality of life of the elderly is influenced by physical, psychological, social and environmental factors. These four factors desperately need family support as a support system for the elderly. This study aims to determine the effect of family support intervention on the quality of life of elderly hypertension in Community Area Cipayung Puskesmas East Jakarta. The research method used quasi-experiment with control group design. The sampling strategy used multistage random sampling with 30 samples for the intervention group and 30 for the control group. This study were implemented during four weeks. Statistical test using dependent t-test and independent t-test. There was a significant difference in the mean elderly quality of life with hypertension after the intervention of family support program in the intervention group compared with the control group (M= 93.67 ± 6.08, p-value 0.012). In conclusion, this study showed that there were differences in mean older people quality of life with hypertension in the intervention group compared with the control group after the intervention of family support program. The resulting family support interventions can serve as the foundation for policy and health service providers in order to implement various interventions related to family empowerment to improve the quality of life older people with hypertension in the community
The Effects of Sundanese Kacapi Suling “Ayun Ambing†Music Therapy to The Level of Anxiety on Chronic Renal Failure Patient Undergoing Hemodialysis
No full textABSTRACT One of the most common psychological problems found in patients with chronic renal failure (ESRD) undergoing hemodialysis is anxiety. Unresolved anxiety can have a negative impact on physiological and psychological conditions that can aggravate the condition of the disease. Traditional Sundanese music therapy Kacapi Suling "Ayun Ambing" has a slow tempo and soft so that it can be used as a therapy. The purpose of this study was to determine the effect of the music therapy Sunda Kacapi Suling "Ayun Ambing" to the anxiety level of patients undergoing hemodialysis.The design used was a Quasy Experimental, with a pretest-posttest control group design approach, involved 46 patients divided into control groups (23) and intervention groups (23) taken by purposive sampling. The intervention group get given Sundanese Kacapi Suling "Ayun Ambing" of music a week 2 times with time 30 minutes for 2 weeks. Anxiety levels were measured using HARS (Hamilton Anxiety Rating Scale) before and after intervention. The control group received standard interventions provided by the Hospital. Data were analyzed univariate and bivariate with Paired t test, Independent t test and Mann Whitney test.Characteristics of respondents between the intervention group and the homogeneous control did not differ significantly. Differences of average before and after in two groups with the tested paired t test showed no significant difference with p value <0.05 whereas for differences in the average change of scores between the intervention and control group with independent t test showed there was a significant difference with p value 0.05.In conclusion, Sundanese Kacapi Suling "Ayun Ambing" of music intervention has an influence on the anxiety with patient undergoing hemodialysis. An implication of this research was that Sundanese Kacapi Suling Music could be considered and applied as a complementary theraphy to decrease the anxety of client, particularly ESRD undergoing hemodialysis. Sundanese Kacapi Suling "Ayun Ambing" of music intervention can also be used as an intervention alternative in a further research in order to overcome health therapies such as anxiety and pain. Keywords: Chronic Kidney Failure, Hemodialysis, Anxiety, Music Kacapi Sulin
Relationship between Quality of Nursing Work Life with Nurse Job Satisfaction in Pilot Project of Nurse Clinical Career Implementation
No full textQuality of nursing work life plays an important role and must be considered by a hospital organization for the achievement of nurse job satisfaction. The career ladder is one from the source of satisfaction according to Wexley & Yulk (2013) and will impact on service quality. The research method used correlational analysis with cross sectional approach. The number of samples in this study as many as 193 people. The results showed that in general, most of the respondents (98.4%) had a high quality of nursing work life and when viewed from career level category it was found that all clinical nurses 4 (100%) had high quality of work life and clinical nurses 1-3 (97.9%, 98.4%, 98.7%) most of respondents have high quality of work life. The results also showed that in general, most of respondents (79.3%) had nurses' job satisfaction and when viewed from career level category it was found that most of clinical nurses 1-4 (77.1%; 80.3%; 83.3%; 79.5%) were satisfied with their work. Indicators in the nurse's job satisfaction are the main priorities in the aspects of compensation, working conditions, recognition, independence. Indicators that need to be maintained by the management of Hasan Sadikin General Hospital Bandung are supervision technical, moral values, responsibility, advancement, co workers. The correlation between quality of nursing work life variable with nurse’s job satisfaction is weak, significant and unidirectional in the pilot project implementation of clinical nurse career ladder  in Hasan Sadikin General Hospital Bandung. Researchers expect the results of this study can be used as an evaluation for nursing management of Hasan Sadikin General Hospital Bandung. Further research is expected to be able to identify the relationship between the dimensions of the quality of nursing work life with the indicators of nurse’s job satisfaction
Hubungan Lama Menjalani Hemodialisis dengan Inter-Dialytic Weight Gain (IDWG) pada Pasien Hemodialisis
No full textInter-Dialytic Weight Gain (IDWG) atau peningkatan berat badan diantara dua tindakan hemodialisis (HD) menjadi salah satu indikator keberhasilan terapi pasien HD. Semakin tinggi IDWG, maka semakin banyak cairan yang menumpuk di dalam tubuh pasien dan semakin berat dampak yang ditimbulkan. Semakin lama seseorang menjalani HD, semestinya semakin banyak yang diketahuinya tentang penyakitnya dan cara mencegah komplikasi sehingga IDWG semestinya semakin turun. Penelitian ini bertujuan untuk mengetahui hubungan antara lama waktu menjalani hemodialisis dengan IDWG. Penelitian korelasional ini dilakukan secara cross sectional dengan melibatkan 34 pasien yang telah menjalani hemodialisis minimal 1 tahun di RSUD Dumai, dapat berkomunikasi secara verbal, dan dapat berdiri untuk menimbang berat badan. Data lama waktu menjalani hemodialisis dilihat dari catatan medis pasien. Adapun IDWG dihitung dalam periode siklus satu minggu menjalani hemodialisis menggunakan timbangan dan dicatat di lembar observasi. Data dianalisis menggunakan uji Spearman. Hasil penelitian menunjukkan median 22 serta nilai minimum dan maksimum yaitu 12 dan 86 bulan. Untuk data IDWG median adalah 3 serta nilai minimum dan maksimum yaitu 1 dan 4,5 kilogram. Analisis hubungan menunjukkan tidak ada hubungan antara lama waktu menjalani hemodialiasis dengan IDWG pada pasien hemodialisis di RSUD Dumai (p value = 0,952) dengan nilai r = 0,01. Diharapkan perawat menganalisis pengetahuan serta pemahaman pasien tentang perlunya mengontrol asupan cairan dan berat badan terutama pada pasien yang telah lama menjalani hemodialisis untuk mencegah kenaikan IDWG yang dapat memperberat kondisi pasien.Kata kunci: Cairan, IDWG, lama hemodialisis AbstractInter-Dialytic Weight Gain (IDWG) becomes an indicator of successful of hemodialysis patients treatment. More IDWG indicates more fluid accumulates in the patient’s body and more impact caused by the excess fluid. This study aimed to investigate relationship between length of undergoing hemodialysis and Inter-Dialytic Weight Gain (IDWG) in Hemodialysis Patients. The study was correlational study with cross sectional approach. Samples of the study were 34 patients. Samples were recruited from hemodialysis patients who have been undergoing hemodialysis at least 1 year in Dumai General Hospital, were able to communicate verbally and to stand up for measuring body weight, and willing to participate in the study. Length of undergoing hemodialysis was taken from medical records. IDWG was measured in one week period of cycle of undergoing hemodialysis using a scale and observation sheet. The result showed the average length of time undergoing hemodialysis was 26.65 months, SD was 15.55, median was 22 and minimum and maximum values were 12 and 86 months respectively. The mean of IDWG was 2.73 kilograms with SD was 1.046, median 3 and minimum and maximum values were 1 and 4.5 kilograms respectively. Result of the study showed that there was no relationship between length of time undergoing hemodialysis and IDWG (p value = 0.952) with r = 0.01. Nurses are expected to further analyze patients’ knowledge as well as understanding about the need to control intake of fluid and body weight to prevent problems caused by kidney damage which suffered by hemodialysis patients.Keywords: Fluid excess, hemodialysis patients, IDW
Perspektif Mahasiswa mengenai Problem-Based Learning (PBL)
No full textPendidikan keperawatan dituntut untuk menghasilkan sumber daya manusia perawat yang kompeten, baik secara akademik maupun dalam tataran praktik. Berbagai penelitian merekomendasikan pendekatan student centered learning dengan metode Problem-Based Learning (PBL) sebagai metode yang efektif memfasilitasi pencapaian kompetensi perawat. Metode ini akan memberikan pengalaman bagi mahasiswa untuk menghadapi real-world problem solving. Meski demikian, bagi mahasiswa program sarjana (undergraduate), pembelajaran PBL merupakan pengalaman baru. Selain itu, literatur juga menunjukkan mahasiswa yang justru frustasi saat menjalankan metode ini. Dengan demikian mengidentifikasi persepsi mahasiswa terhadap metode pembelajaran ini merupakan hal penting. Penelitian ini bertujuan untuk mengidentifikasi perspektif mahasiswa tingkat akhir mengenai pembelajaran dengan menggunakan metode PBL. Penelitian deskriptif kuantitatif ini menggunakan total sampling dengan melibatkan 159 mahasiswa tingkat akhir di salah satu institusi pendidikan tinggi keperawatan di Bandung. Data dikumpulkan menggunakan Course Experience Quesionnaire yang dikembangkan oleh David Caroll (2013). Data dianalisis secara deskriptif. Hasil penelitian secara umum menunjukkan 46,94% responden mempunyai perspektif netral; 42,86% responden mempunyai perspektif positif; dan 6,20% responden memiliki perspektif negatif. Dilihat berdasarkan dimensinya, 50% mahasiswa memiliki persepsi netral terhadap kualitas pembelajaran (good teaching scale); 83,3% persepsi positif dalam keterampilan umum (good skills scale); 100% persepsi netral dalam kepuasan mahasiswa (overal satisfaction); 80% persepsi netral terhadap kejelasan tujuan dan standar pembelajaran (clear goals and standars); 75% persepsi netral terhadap tingkat penugasan (appropriate workload scale); dan 33,3% persepsi positif terhadap evaluasi pembelajaran (appropriate assessment scale). Hal ini menunjukan mahasiswa tidak secara tegas menilai pelaksanaan PBL baik atau tidak baik. Hal tersebut dikarenakan di satu sisi mereka merasakan ada hal yang positif dari pelaksanaan PBL tetapi disisi lain ada hal yang negatif yang mereka alami.Kata kunci: Evaluasi, mahasiswa, metode, persepsi, problem-based learning. AbstractNursing education was demanded to form human resources that fulfill qualification such as academic potential and practice that are good in order to form a professional and competent nurse. Various studies recommend student centered learning approach with problem-based learning method as an effective method for the achievement of nurse competence, because it provides experience for students to face real-world problem solving. However, for undergraduate students, PBL learning is a new experience that is different from that obtained during high school, in addition some studies also show students who are frustrated in class, so the evaluation of how students’ perceptions of this learning method is important. The research aimed to identify final grade student’s perspective on learning using problem-based learning method. The research method was using descriptive qualitative, and instruments used Course Experience Quesionnaire developed by David Caroll (2013). The sample in this research is the final grade students at nursing higher education institution in Bandung with total 159 people and taken data by using total sampling technique. Data analyzed by frequency distribution. Results of research showed 46.96% of a neutral perspective respondent, 42.86% of a positive perspective respondent, and 6.20% of negative perspective respondent. Judging by its dimensions, 50% of students have neutral perceptions of the quality of learning (good teaching scale); 83.3% positive perceptions in general skills (good skills scale); 100% neutral perception in student satisfaction (overal satisfaction); 80% neutral perceptions of clarity of objectives and learning standards (clear goals and standars); 75% neutral perception of the workload (appropriate workload scale); and 33.3% positive perceptions of the learning assessment (appropriate assessment scale). The result shows that students do not explicitly assess the implementation of PBL as good or bad, due to they experienced positive and negative thing from the implementation of PBL.Keywords: Evaluation, method, problem based learning, student
Pengkajian Nyeri pada Pasien Kritis dengan Menggunakan Critical Pain Observation Tool(CPOT) di Intensive Care Unit(ICU)
No full textPenggunaan alat ukur pengkajian nyeri yang sistematik dan terstandar pada pasien kritis yang tidak mampu untuk melaporkan rasa nyeri adalah suatu hal yang perlu diperhatikan. Behavioural pain scales(BPS) adalah alat ukur yang lebih dini dan banyak digunakan di area keperawatan kritis. Critical pain observation tools(CPOT) adalah alat yang dikembangkan menggunakan unsur-unsur rasa nyeri yang ada pada beberapa alat ukur pengkajian nyeri, termasuk BPS, namun CPOT belum banyak dikenal dan digunakan. Tujuan penelitian adalah melihat kesesuaian alat ukur CPOT dengan alat ukur BPS. Penelitian ini bersifat observasional analitik dengan rancangan Crosssectional dengan sampel pasien GICU (General Intensive Care Unit) dengan penurunan kesadaran dan menggunakan ventilasi mekanik sebanyak 48 pasien. Teknik pengambilan sampel dengan consecutive sampling. Pengkajian dilakukan dengan observasi skala nyeri menggunakan BPS dan CPOT pada saat pasien kondisi istirahat dan positioninguntuk melihat keandalan alat ukur nyeri. Hasil uji beda dan korelasi pada hasil pengukuran nyeri pada BPS dan CPOT adalah bermakna. Hal ini menunjukkan bahwa BPS dan CPOT dapat mengukur perbedaan intensitas nyeri saat istirahat dengan saat positioning. Hasil uji kesesuaian (kappa) pengukuran BPS dengan CPOT memiliki nilai kesesuaian yang bermakna, dengan nilai kesesuaian (kappa) BPS-CPOT pada kondisi istirahat sebesar 0,937, sedangkan nilai kesesuaian (Kappa)BPS-CPOT pada kondisi positioning sebesar 0,265. BPS dan CPOT adalah alat penilaian nyeri yang dapat digunakan dalam menilai rasa sakit dan meningkatkan manajemen nyeri pada pasien kritis. CPOT lebih mudah digunakan dan aplikatif karena memiliki definisi operasional yang jelas. Kata kunci : Behavioural pain scale, Critical pain observation tool, pasien kritis.Pain Assessment among Critically Ill Patients using the Critical Pain Observation Tool (CPOT) in the Intensive Care Unit AbstractA systematic and standardised tool to assess pain experienced by critically ill patients has been previously highlighted. The BPS is the common tool used in the intensive care setting which can be used. But, the Critical Pain Observation Tool (COPT) has not been used extensively in the hospital. Thus, the efficacy of this tool needs to be examined. This descriptive observational study aimed to find an agreement of CPOT with BPS using a cross-sectional method recruited 48 participants with consecutive sampling technique. Pain assessment was performed during a resting and positioning period to check the agreement of the tools. Data was analysed using Cohen’s Kappa index analysis. Findings demonstrated a significance difference of pain intensity measured by BPS and CPOT during the period of resting (κ = 0.937) and positioning (κ = 0.265). Thus, BPS and CPOT are reliable scales to measure pain intensity. It is expected that those tools can help nurses to improve pain management for critically ill patients. However, CPOT is considered more applicable and user-friendly compared to the BPS.Keywords: Behavioral Pain Scale, Critical Pain Observation Tool, critical nursing car
Spiritual Emotional Freedom Technique (SEFT) terhadap Kualitas Hidup Penderita Tuberkulosis Paru
No full textTuberkulosis paru (TB) merupakan penyakit kronik yang dapat memengaruhi kualitas hidup seseorang.Spiritual Emotional Freedom Technique (SEFT) merupakan salah satu terapi non-farmakologis untukmengatasi hal tersebut. Penelitian ini bertujuan untuk menjelaskan pengaruh terapi SEFT terhadap peningkatanQuality of Life (QoL) pada penderita TB di Puskesmas Perak Timur Surabaya. Metode yang digunakandalam penelitian ini adalah quasi-eksperimental dengan jumlah sampel yang memenuhi kriteria inklusisebanyak 22 orang. Analisis data dilakukan dengan menggunakan uji Wilcoxon dan Mann Whitney dengantingkat kemaknaan α<0,05. Hasil penelitian menunjukkan adanya peningkatan kualitas hidup pasien TBsecara signifikan pada aspek kesehatan fisik (p=0,003), psikologis (p=0,003), dan sosial (p=0,046) setelahdilakukan intervensi SEFT. Sedangkan hasil tidak signifikan terdapat pada aspek lingkungan (p=1,000).Pada uji Mann Whitney didapatkan hasil signifikan pada aspek kesehatan fisik (p=0,000), aspek psikologis(p=0,000), dan aspek fungsi sosial (p=0,015). Hasil uji Mann Whitney tidak signifikan pada aspek lingkungan(p=0,167). Kesimpulan yang didapatkan adalah SEFT mampu meningkatkan kualitas hidup responden secaraumum, karena mampu mengatasi “psychological reversal†dan karena pengaruh dari “electrical active cellsâ€
Perbandingan Abdominal Massage dengan Teknik Swedish Massage dan Teknik Effleurage terhadap Kejadian Konstipasi pada Pasien yang Terpasang Ventilasi Mekanik di ICU
No full textKonstipasi merupakan komplikasi yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU).Teknik abdominal massage yang dapat digunakan untuk mencegah konstipasi adalah swedish massage daneffleurage, namun demikian belum ada penelitian lanjutan yang menunjukkan teknik yang paling efektifdiantara kedua teknik abdominal massage tersebut terhadap kejadian konstipasi. Penelitian ini bertujuanuntuk mengetahui perbedaan kejadian konstipasi antara kelompok yang dilakukan abdominal massagedengan teknik swedish massage dan kelompok yang dilakukan abdominal massage dengan teknik effleurage.Penelitian ini merupakan penelitian quasi eksperimen dengan total jumlah sampel pada dua kelompok sebanyak22 responden yang didapatkan melalui teknik consecutive sampling. Penelitian ini dilakukan dari bulanJanuari sampai Maret 2016 di ruang ICU RS Panti Rapih Yogyakarta. Data dikumpulkan melalui observasimenggunakan lembar observasi defekasi. Data dianalisis menggunakan uji Fisher’s Exact. Kejadian konstipasipada kelompok abdominal massage dengan teknik swedish massage sebanyak 45,4%, sedangkan kejadiankonstipasi pada kelompok abdominal massage dengan teknik effleurage sebanyak 27,2%, dan secara statistiktidak ada perbedaan kejadian konstipasi (p = 0,659) antara kelompok abdominal massage dengan teknik swedishmassage dan kelompok abdominal massage dengan teknik effleurage. Walaupun kejadian konstipasi antarakelompok abdominal massage dengan teknik swedish massage dan kelompok abdominal massage denganteknik effleurage tidak berbeda, namun abdominal massage dengan teknik effleurage waktu lebih efisien, energiyang dikeluarkan lebih minimal dan meningkatkan kenyamanan. Oleh karena itu, abdominal massage denganteknik effleurage dan teknik swedish massage disarankan untuk menjadi pilihan intervensi bagi perawat ICU
Perbedaan Efektivitas Pursed Lips Breathing dengan Six Minutes Walk Test terhadap Forced Expiratory
No full textForced Expiratory Volume in One Second (FEV1) pada pasien Chronic Obstructive Pulmonary Disease (COPD) mengalami penurunan. Pursed lips breathing mampu meningkatkan nilai FEV1, demikian juga six minutes walk test. Namun, belum diketahui efektivitas kedua terapi tersebut. Tujuan penelitian ini untuk membandingkan perbedaan nilai FEV1 setelah dilakukan pursed lips breathing dan six minutes walk test. Desain penelitian yang digunakan adalah quasi experiment dengan menggunakan rancangan two group pretest-postest design. Penelitian ini menggunakan teknik simple random sampling dengan jumlah sampel sebanyak 40 orang. Pursed lips breathing diberikan sebanyak 3 kali 10 menit/hari selama 3 hari. Six minutes walk test diberikan sebanyak 1 kali/hari selama 3 hari. Perbedaan efektivitas antara pursed lips breathing dengan six minutes walk test dianalisis dengan uji independent samples t test. Hasil uji independent samples t test menunjukkan p value 0,444 yang berarti tidak ada perbedaan yang signifikan antara FEV1 post pursed lips breathing dengan six minutes walk test, kedua intervensi sama-sama mampu meningkatkan nilai FEV1. Hasil penelitian menunjukkan bahwa rata-rata FEV1 post test kelompok pursed lips breathing lebih besar daripada kelompok six minutes walk test, dengan rata-rata nilai FEV1 post test kelompok pursed lips breathing sebesar 74,71 dan nilai FEV1 post test kelompok six muntes walk test sebesar 69,37. Berdasarkan hasil analisis tersebut, dapat dikatakan bahwa pursed lips breathing lebih mampu meningkatkan nilai FEV1 daripada six minutes walk test.Kata kunci: COPD, FEV1, Pursed Lips Breathing, Six Minutes Walk Test